Individual
JENNIFER LAN NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 RED RIVER ST STE 201, AUSTIN, TX 78705-2655
(855) 481-8375
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD207322
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06758749
—
MS
05
—
2192329
—
LA
01
—
AP111699
TX LICENSE
TX
Enumeration date
03/29/2012
Last updated
05/16/2024
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